Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 22253 | MD |
NPI | 1043406358 |
---|---|
Provider Name | Ms. Lori Anne Nemeth |
First Address | Severna Park, MD 21146 |
Second Address | Severna Park, MD 21146-3931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2007 |
Last Update Date | 20/09/2007 |